| OECD NEA Data Bank, co-sponsored by the ORNL/RSICC MCNP5/MCNPX Training Course 7-11 November 2011 Registration Form Please send by 23 September 2011 To: Mrs. Catherine ROCHER-THROMAS, OECD/Nuclear Energy Agency Data Bank All participants
must have an MCNP5/MCNPX license. I intend to participate in the MCNP5/MCNPX training course scheduled for 7-11 November 2011, at Imperial college London, UK. The registration fee is 2000 euros. Course fees are refundable up to 7 October 2011, 6 p.m. Paris time. After 7 October 2011, course fees will not be refunded. I agree to the payment of a fee of 2 000 Euros for participating in the Training Course. Family Name: Dosimetry / Criticality / Shielding / Medical / Nuclear Power/ Fusion / High Energy Physics Other (specify): The particle type(s) I am most interested in are (please select): Proton / Neutron / Mesons / Photon / Electron / Fusion Fragments / others My level of knowledge of the English language is (please select): some / medium / good My level of experience with MCNP, MCNPX or other MC codes is (please select): None / Some Comments: Information:
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